John L. Costello OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00518500 Issued in NJ

Legal business name

JOHN L. COSTELLO OD PA

Doing business as

Costello Eye Care

Practice address

53 Kent Rd
Howell, NJ 07731-2452

Phone

(732) 534-5622

Fax

(732) 534-5620

NPI assigned

Apr 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John L Costello Jr., O.D.

Title

President

Phone

(732) 534-5622

Specialties & licenses 1

Addresses

Other names 1

• Costello Eye Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1447478730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 VINCENT CT",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199153",
            "telephone_number": "732-974-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 KENT RD",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312452",
            "telephone_number": "732-534-5622",
            "fax_number": "732-534-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L. COSTELLO OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-534-5622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00518500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Costello Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Olivia Jennings-Girau, MS NCC LPC CCTP
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• Joana Brown DMD LLC
• Jeffrey A. Johnson, MSW, LCSW
• Tom Jones, LCSW
• Lucy Joseph
• Joy Therapeutics
• Frances Kalaka

• Optometrist in Howell, NJ
• Providers in Howell, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.